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RecruitingNCT04091282ABERRANTUpdated Apr 11, 2024

Antibiotic-induced Disruption of the Microbiota

An observational study in Microbiota and Antibiotic Disruption, sponsored by University of Fribourg. Recruiting at 1 site in Switzerland. Open to participants aged 1 Day to 2 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-11.

Sponsored by University of Fribourg · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Jan 2020; still recruiting 6 years 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
1 Day to 2 Years
Sex
All
01

Study summary

The use of antibiotics causes profound changes in the microbiota. However, the magnitude of the effect of intrapartum and early-life antibiotics on the breast milk and the infant oral and intestinal microbiota, and whether effects are only short-term or persist long-term remain uncertain and will be determined in this study.

Read the detailed description

In this prospective cohort study, the investigators will determine the effect of (i) intrapartum antibiotics on the composition of the breast milk, and the infant oral and intestinal microbiota and antibiotic exposure in the first year of life on the composition of the infant intestinal microbiota (including the development and persistence of antibiotic resistance) and (ii) the association of this disruption with adverse health outcomes. (iii) The investigators will also determine the association between the maternal intestinal microbiota, the breast milk microbiota and the infant oral and intestinal microbiota.

02

Conditions studied

  • Microbiota
  • Antibiotic Disruption

Keywords

  • Metagenome
  • Infants
03

In context

Lead sponsor

University of Fribourg is the lead sponsor of 16 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Day to 2 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women who give birth at the Hôpital fribourgeois (HFR) in Fribourg, Switzerland and their infants.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • healthy infants
  • term infants (> 37 weeks of gestation)

Exclusion criteria

Exclusion Criteria:

  • maternal infection
  • maternal or C infection
  • antibiotics in the third trimester of pregnancy
  • intake of probiotics during pregnancy
  • infants with the low birth weight \<2500 g
  • infants with congenital abnormality
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • OtherNo intervention

    No intervention

06

What researchers measure

Primary outcomes

  1. Antibiotic-induced disruption of breast milk microbiota

    Composition of breast milk microbiota at birth and when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  2. Antibiotic-Induced disruption the infant stool microbiota

    Composition of infant intestinal microbiota at birth and when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  3. Maternal to infant microbiota transfer

    Similarities in the composition of the maternal intestinal, the breast milk microbiota and the infant intestinal microbiota, at 38 weeks of pregnancy, at birth and when infants are 7 days, 1, 2, 4 and 6 months of age.

    Time frame: 2 years

  4. The composition of the intestinal microbiota and adverse health outcomes

    Abundance of certain microbes in the intestinal microbiota and number of episodes of lower respiratory tract infections until 2 years of age

    Time frame: 2 years

  5. The composition of the intestinal microbiota and adverse health outcomes

    Abundance of certain microbes in the intestinal microbiota and number of episodes of acute otitis media episodes until 2 years of age

    Time frame: 2 years

  6. The composition of the intestinal microbiota and adverse health outcomes

    Abundance of certain microbes in the intestinal microbiota and prevalence of allergic sensitisation (positive skin prick test) at 1 and 2 years of age

    Time frame: 2 years

  7. The composition of the intestinal microbiota and adverse health outcomes

    Abundance of certain microbes in the intestinal microbiota and weight (in kg) at 1 and 2 years of age

    Time frame: 2 years

Secondary outcomes

  1. Antibiotic-induced disruption of breast milk microbiota

    Prevalence of antibiotic resistance genes within the breast milk microbiota at birth and when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  2. Antibiotic-Induced disruption the infant stool microbiota

    Prevalence of antibiotic resistance genes within the intestinal microbiota at birth and when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  3. Introduction of different foods affects the composition of the intestinal microbiota

    Age (in days) when a new food item was introduced and composition of infant intestinal microbiota when infants are 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  4. Administration of oxygen affects the composition of the intestinal microbiota in infants

    Number of days of oxygen and composition of infant intestinal microbiota when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

  5. Administration of antacids affect the composition of the infant intestinal microbiota

    Number of days antacids were administered and composition of infant intestinal microbiota at birth and when infants are 7 days, 1, 2, 4, 6, 12 and 24 months of age.

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Volery M, Scherz V, Jakob W, Bandeira D, Deggim-Messmer V, Lauber-Biason A, Wildhaber J, Falquet L, Curtis N, Zimmermann P. Study protocol for the ABERRANT study: antibiotic-induced disruption of the maternal and infant microbiome and adverse health outcomes - a prospective cohort study among children born at term. BMJ Open. 2020 Jun 23;10(6):e036275. doi: 10.1136/bmjopen-2019-036275. PubMed 32580987 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2020 (actual). Primary completion is estimated for Dec 2025, 71 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2019
First posted
Sep 16, 2019
StartActual
Jan 25, 2020
Primary completionEst.
Dec 30, 2025
CompletionEst.
Dec 30, 2025
Last update
Apr 11, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 11, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04091282
Lead sponsor
University of Fribourg
Responsible party
Petra Zimmermann (Principal investigator, University of Fribourg) — Principal investigator
First posted
Sep 16, 2019
Start date
Jan 25, 2020
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2025 (estimated)
Last update
Apr 11, 2024

Study contacts

Petra Zimmermann, MD, PhD
Contact
petra.zimmermann@h-fr.ch
+413063542
Petra Zimmermann, MD, PhD
principal investigator · Hopital Cantonal de Fribourg, Switzerland

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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